Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.00 / $2,952.00 / $7,735.00	Facility		$616.00	$2,952.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.04 / $526.41 / $934.54	Professional		$455.04	$526.41	$934.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $6,992.00 / $12,173.00	Facility		$4,070.00	$6,992.00	$12,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.51 / $467.56 / $1,063.39	Professional		$376.51	$467.56	$1,063.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $684.69 / $2,390.00 / $10,957.50	Facility		$684.69	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $684.69 / $684.69 / $684.69	Professional		$684.69	$684.69	$684.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $554.52 / $10,297.11	Facility		$554.52	$554.52	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.02 / $729.41 / $1,590.87	Professional		$354.02	$729.41	$1,590.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $332.00 / $1,244.21	Facility		$246.00	$332.00	$1,244.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $497.68 / $673.57 / $1,008.03	Professional		$497.68	$673.57	$1,008.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.53 / $464.53 / $1,395.63	Facility		$464.53	$464.53	$1,395.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.68 / $587.28 / $911.46	Professional		$397.68	$587.28	$911.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $555.00 / $10,297.11	Facility		$554.52	$555.00	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $493.10 / $692.51 / $1,579.18	Professional		$493.10	$692.51	$1,579.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.07 / $545.04 / $1,244.86	Professional		$393.07	$545.04	$1,244.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $587.28 / $587.28 / $1,568.40	Facility		$587.28	$587.28	$1,568.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $397.68 / $623.86 / $1,248.52	Professional		$397.68	$623.86	$1,248.52